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Pac;e~ 002-006 <br /> <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE <br /> <br />o6/~ <br /> <br />PRODUC~ (916)443-0200 FAX (916)443-0251 <br /> <br /> License Number: 0670167 <br /> 2831 G Street Suite 200 <br /> Sacramento, CA 95816-3721 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EATEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURED Cooperative Personnel Services <br /> 241 Lathrop Way <br /> Sacramento, CA 958[5 <br /> <br />TRAVELERS <br /> <br />COVERAGES <br /> <br /> THE POLICIES OF INSURANCE LISTED BELOW NAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSL~ED OR <br /> MAY P E R TAli'~. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCI~ <br /> POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br /> 6607704A197 O7/01/2003o7/ol/2oo4 ,ooo,oo <br /> ! <br /> <br /> ~ AUTOMOBILE LIABILI~ 107704~197 O7/01/2003 O7/01/2004 CC MBiNEE) SINGLE LiMiT <br /> I - <br /> <br /> m~xc~ssL4~smLm~ EX7704A197 07/O1/2003 i 07/01/200~ EACH~CURREN,:E <br />  0{c~m~ C~Am~S ~XD~ I A~a~ATE ~ 5,000,0OO <br /> WORKERS COMPEmAnONANDEMPLOYER,, ~mA~cmw JB1176A220 07/01/2003 i 07/01/2004 ~X m <br /> <br /> ~ ~ ~se~se ~AS~,~O~ ~ 1,000,09( <br /> OTHE~ ,A, , ~( ', ~[~ ~ ~ ~% j EL DISEASE POL;CYLIMIT $ <br /> : .... <br />e: Callfo..ia Op~.atio~s .... ' <br />~eneral Liability Additional [nsu~d as per attached endors~ent CG D2 48 1002 w/ primary wording <br />Upon non-pa~ent of pr~, 10 day not~ce of cancellation applies. <br /> <br />CERTIFICATE HOLDER I x I AOOITIO~AL INSURED; I~SU~R ~T~R: A CANCELLATION <br /> <br />City of Santa Ana <br />Attn: Thien-Vu Ngo <br />20 Civic Center Plaza <br />Santa Aha, CA 92702 <br /> <br />ACORD 25-S (?/97) <br /> <br />~urNoRIZEO R~P~SENTaTIW <br />Maryanne Novak/CBV ~ {~/~-, d <br /> ©ACORD CORPORATION 1988 <br /> <br /> <br />